Questar Pipeline Company
First Revised Volume No. 1
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Effective Date: 10/01/2009, Docket: RP09-1030-000, Status: Effective
Second Revised Sheet No. 185C Second Revised Sheet No. 185C
Superseding: First Revised Sheet No. 185C
Contract No. ________
FORM OF PARK AND LOAN SERVICE AGREEMENT
RATE SCHEDULE PAL1
1. SHIPPER'S NAME AND ADDRESS:
_____________________________
_____________________________
_____________________________ Schedule Dates
Park Park Return
2. PARK QUANTITY: _______________________ Dth
Quantity Scheduled to park at Clay Basin: _______________________
_______________________
Quantity Scheduled for return to shipper: _______________________
_______________________
3. LOAN QUANTITY: ______________________ Dth Loan Loan Return
Quantity Scheduled for loan from Clay Basin: _______________________
_______________________
Quantity Scheduled for return to Clay Basin: _______________________
_______________________
4. TERM OF AGREEMENT:
_______________________ through _______________________
5. RATES:
Reservation Charge:
________ Maximum rate on Questar's Statement of rates.
_________A discounted rate of ________ /Dth.
________ See additional terms.
Delivery Charge:
________ The rate on Questar's Statement of rates.
________ See additional terms.
Fuel Reimbursement
________ In-kind
________ In-cash
6. ADDITIONAL TERMS:
This Agreement includes all the terms and conditions of Parts 1, 3 and 4
of Questar's FERC Gas Tariff, First Revised Volume No. 1 and the terms,
conditions and signatures of Shipper's access agreement with Questar.